[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2005] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR407.22] [Page 266] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 407_SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT --Table of Contents Subpart B_Individual Enrollment and Entitlement for SMI Sec. 407.22 Request for individual enrollment. (a) A request for enrollment is required of an individual who meets the eligibility requirements of Sec. 407.10 and desires SMI, if the individual-- (1) Is not entitled to hospital insurance; (2) Has previously declined enrollment in SMI; (3) Has had a previous period of SMI entitlement which terminated; (4) Resides in Puerto Rico or outside the United States; or (5) Is enrolling or reenrolling during a special enrollment period under Sec. 407.20. (b) A request for enrollment under paragraph (a) of this section must: (1) Be signed by the individual or someone acting in his or her behalf; and (2) Be filed with SSA or CMS during the initial enrollment period, a general enrollment period, or a special enrollment period as provided in Sec. 407.20.